Provider Demographics
NPI:1073734968
Name:FINKELSTEIN, IRA D (LCSW)
Entity Type:Individual
Prefix:MR
First Name:IRA
Middle Name:D
Last Name:FINKELSTEIN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 EAST 12 ST.
Mailing Address - Street 2:5J
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-5244
Mailing Address - Country:US
Mailing Address - Phone:718-258-8569
Mailing Address - Fax:718-635-6745
Practice Address - Street 1:745 64TH STREET
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220
Practice Address - Country:US
Practice Address - Phone:718-283-1927
Practice Address - Fax:718-635-6745
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR027992-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical